Poulose BK et al (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Colorectal Dis 23(6):1515–1523Ĭherla DV, Poulose B, Prabhu AS (2018) Epidemiology and disparities in care: the impact of socioeconomic status, gender, and race on the presentation, management, and outcomes of patients undergoing ventral hernia repair. Gignoux B et al (2021) Incidence and risk factors for incisional hernia and recurrence: retrospective analysis of the French national database. Further research is urgently required on this subject. The literature supporting the advice given to patients regarding recommended physical activity levels in the perioperative period for AWR patients is sparse.
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All three studies showed improved outcomes in their study groups compared to controls however significant methodological flaws and confounding factors existed in all three studies. The outcomes differed between the studies therefore meta-analysis was impossible-two studies measured hernia recurrence, one measured peak torque. All three studies subjected their patients to varying types of physical activity preoperatively, one study also prescribed these activities postoperatively. Three total papers were included-two randomised studies and one cohort study (combined 423 patients). After screening one title was selected for inclusion in our study. The snowballing search identified 49 records. After screening two titles were selected for inclusion in our study. The database search yielded 5423 records. Data from the included studies were extracted using a table based on the Cochrane Consumers and Communication Review Group’s data extraction template. RoB2 and Robins-I were used to assess risk of bias. Studies concerning complex incisional hernia repairs and AWRs including a “prehabilitation” and/or “rehabilitation” program targeting the abdominal wall muscles in which the interventions were of a physical exercise nature. Inclusion-cohort studies, randomized controlled trials, prospective or retrospective. Methodsĭatabase searches of PubMed, CINAHL, Allied & Complementary medicine database, PEDro and Web of Science were performed followed by a snowballing search using two papers identified by the database search and four hand-selected papers of the authors’ choosing. This study is intended to identify and summarise the literature on this topic. There are no universally agreed guidelines regarding which types of physical activity are safe and/or recommended in the perioperative period for patients undergoing ventral hernia repair or abdominal wall reconstruction (AWR).